TEST BANK For Little and Falace's Dental Management of the Medically Compromised Patient, 10th Edition by Craig Miller, Verified Chapters 1 - 30, Complete Newest Version.pdf

Test Bank For Little and Falace's Dental Management
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of the Medically Compromised Patient,
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10th Edition by Craig Miller, C
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hapters 1 - 30
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,Little:mDentalmManagementmofmthemMedicallymCompromisedmPatient,m10thmEditionmT
estmBank
TablemofmContents
PARTmONE:mPATIENTmEVALUATION mAND mRISK mASSESSMENT
Chapterm1:mPatientmEvaluationmandmRiskmAssessment
PARTmTWO:mCARDIOVASCULAR mDISEASE
Chapterm2:mInfectivemEndocarditismCh
apterm3:mHypertension
Chapterm4:mIschemicmHeartmDiseasem
Chapterm5:mCardiacmArrhythmias
Chapterm6:mHeartmFailurem(ormCongestivemHeartmFailure)
PARTmTHREE:mPULMONARY mDISEASE
Chapterm7:mPulmonarymDisease
Chapterm8:mSmokingmandmTobaccomUsemCessatio
nmChapterm9:mSleep-
RelatedmBreathingmDisordersmPARTmFOUR:mGA
STROINTESTIAL mDISEASE
Chapterm10:mLivermDisease
Chapterm11:mGastrointestinal mDisease
PARTmFIVE:mGENITOURINARY mDISEASE
Chapterm12:mChronicmKidneymDiseasemandmDialysi
smChapterm13:mSexuallymTransmittedmDiseases
PARTmSIX:mENDOCRINE mAND mMETABOLIC mDISEASE
Chapterm14:mDiabetesmMellitusmChapt
erm15:mAdrenal mInsufficiencymChapterm
16:mThyroidmDiseases
Chapterm17:mPregnancymandmBreastmFeeding
PARTmSEVEN:mIMMUNOLOGIC mDISEASE
Chapterm18:mAIDS,mHIVmInfection,mandmRelatedmConditionsmChap
term19:mAllergy
Chapterm20:mRheumatologicmandmConnectivemTissuemDisordersmChapt
erm21:mOrganmandmBonemMarrowmTransplantation
PARTmEIGHT:mHEMATOLOGIC mANDmONCOLOGIC mDISEASE
Chapterm22:mDisordersmofmRedmBloodmCellsmChapt
erm23:mDisordersmofmWhitemBloodmCells
Chapterm24:mAcquiredmBleedingmandmHypercoagulablemDisordersmCh
apterm25:mCongenital mBleedingmandmHypercoagulablemDisordersmChap
term26:mCancermandmOral mCaremofmthemPatient
PARTmNINE:mNEUROLOGIC,mBEHAVIORAL,mAND mPSYCHIATRIC mDISORDERS
Chapterm27:mNeurologicmDisorders
Chapterm28:mAnxiety,mEatingmDisorders,mandmBehavioralmReactionsmtomIllnessmChap
term29:mPsychiatricmDisorders
Chapterm30:mDrugmandmAlcohol mAbuse

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Chapterm01:mPatientmEvaluationmandmRiskmAssessment
Little:mDentalmManagementmofmthemMedicallymCompromisedmPatient,m10thmEdition


MULTIPLEmCHOICE

1. Electivemdental mcaremshouldmbemdeferredmformpatientsmwithmsevere,muncontrolledmhy
pertension,mmeaningmthatmthembloodmpressuremismgreatermthanmormequal mto mm mHg.
a. 200/140
b. 180/140
c. 180/110
d. 160/110
ANSWER:m C
Electivemdental mcaremshouldmbemdeferredmformpatientsmwithmsevere,muncontrolledmhy
pertension,mwhichmismbloodmpressuremgreatermthanmormequalmtom180/110mmm mHg,mun
til mthemconditionmcanmbembroughtmundermcontrol.

2. ThemAmericanmHeartmAssociationmcurrentlymrecommendsmantibioticmprophylaxismform
ampatientmwithmwhichmofmthemfollowingmcardiacmconditions?
a. Mitral mvalvemprolapse
b. Prostheticmheartmvalve
c. Rheumaticmheartmdisease
d. Pacemakersmformcardiacmarrhythmias
ANSWER:m B
Previously,mthemAmericanmHeartmAssociationm(AHA)mrecommendedmantibioticmprophyl
axismformmanympatientsmwithmheartmmurmursmcausedmbymvalvularmdiseasem(e.g.,mmitral m
valvemprolapse,mrheumaticmheartmdisease)minmanmeffortmtompreventminfectivemendocardi
tis;mhowever,mcurrentmguidelinesmomitmthismrecommendationmonmthembasismofmaccumul
atedmscientificmevidence.mIfmammurmurmismduemtomcertainmspecificmcardiacmconditionsm(e
.g.,mpreviousmendocarditis,mprostheticmheartmvalve,mcomplexmcongenital mcyanoticmhear
tmdisease),mthemAHAmcontinuesmtomrecommendmantibioticmprophylaxismformmostmdental m
procedures.

3. Onemconsequencemofmchronicmhepatitism(BmormC)mormcirrhosismofmthemlivermismdecreas
edmabilitymofmthembodymto
certainmdrugs,mincludingmlocal manestheticsmandmanalgesics.
a. absorb
b. distribute
c. metabolize
d. excrete
ANSWER:m C
Patientsmalsommaymhavemchronicmhepatitism(BmormC)mormcirrhosis,mwithmimpairmen
tmofmlivermfunction.mThismdeficitmmaymresultminmprolongedmbleedingmandmlessmeffici
entmmetabolism mofmcertainmdrugs,mincludingmlocal manestheticsmandmanalgesics.

4. Whichmofmthemfollowingmsymptomsmandmsignsmismmostmconsistentmwithmallergy?
a. Heartmpalpitations
b. Itching
c. Vomiting
d. Fainting

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ANSWER:m B
Symptomsmandmsignsmconsistentmwithmallergymincludemitching,murticariam(hives),mrash,m
swelling,mwheezing,mangioedema,mrunnymnose,mandmtearingmeyes.mIsolatedmsignsmandm
symptomsmsuchmasmnausea,mvomiting,mheartmpalpitations,mandmfaintingmgenerallymarem
notmofmanmallergicmoriginmbutmrathermaremmanifestationsmofmdrugmintolerance,madversem
sidemeffects,mormpsychogenicmreactions.

5. Whichmofmthemfollowingmismtruemofmthempatientmwithmamhistorymofmtuberculosis?
a. AmpositivemresultmonmskinmtestingmmeansmthatmthempersonmhasmactivemTB.
b. Mostmpatientsmwhombecomempositivemskinmtestersmdevelopmactivemdisease.
c. Patientsmwithmacquiredmimmunodeficiencymsyndromem(AIDS)mhavemamhig
hmincidencemofmtuberculosis.
d. AmdiagnosismofmactivemTBmismmadembymampurifiedmproteinmderivativem(PPD)mskinmtest.
ANSWER:m C
Thempotential mcoexistencemofmtuberculosismandmacquiredmimmunodeficiencymsyndrom
em(AIDS)mshouldmbemexploredmbecausempatientsmwithmAIDSmhavemamhighmincidencemof
mtuberculosis.mA mpositive mresultmonmskinmtestingmmeansmspecificallymthatmthempersonmh

asmatmsomemtimembeenminfectedmwithmTB,mnotmnecessarilymthatmactivemdiseasemismpres
ent.mMostmpatientsmwhombecomempositivemskinmtestersmdomnotmdevelopmactivemdisease
.mAmdiagnosismofmactivemTBmismmadembymchestmx-
ray,mimaging,msputum mculture,mandmclinical mexamination.

6. Vasoconstrictorsmshouldmbemavoidedminmpatientsmwhomcocainemormme
thamphetaminemusersmbecausemthesemagentsmmaymprecipitate .
a. severemhypotension
b. severemhypertension
c. respiratorymdepression
d. cessationmofmintestinal mperistalsis
ANSWER:m B
Vasoconstrictorsmshouldmbemavoidedminmpatientsmwhomaremcocainemormmethamphetam
inemusersmbecausemthemcombinationmmaymprecipitatemarrhythmias,mMI,mormseveremhyp
ertension.

7. Itmhasmbeenmshownmthatmthemriskmformoccurrencemofmamseriousmperioperativemcardiovas
cularmeventm(e.g.,mMI,mheartmfailure)mismincreasedminmpatientsm whomaremunablemtommee
tmam-METm(metabolicmequivalentmofmtask)mdemandmduringmnormal mdailymactivity.
a. 4
b. 6
c. 8
d. 10
ANSWER:mA
Dailymactivitiesmrequiringm4mMETsmincludemlevel mwalkingmatm4mmiles/hourmormclimbingmamfli
ghtmofmstairs.mActivitiesmrequiringmgreatermthanm10mMETsmincludemswimmingmandmsinglesm
tennis.mAnmexercisemcapacitymofm10mtom13mMETsmindicatesmexcellentmphysical mconditionin
g.

8. Whichmofmthemfollowingmalterationsminmthemfingernailsmismassociatedmwithmcirrhosis?
a. Yellowing
b. Clubbing


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